Respiratory Therapist Case Manager

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Department

Job Summary

The Respiratory Therapist Case Manager ("Case Manager") under general supervision, performs Obstructive Sleep Apnea (OSA) case management, which includes the evaluation of patients requiring prescriptions for Respiratory Durable Medical Equipment (DME) such as home oxygen, CPAP and Bipap, monitors, and compressors. Provides for the setup of Respiratory DME by contacting providers and making appropriate arrangements. Conducts follow-up evaluations of DME patients to document medical necessity. Acts as a liaison between the Denver Health Managed Care Department, physicians, the patient, and the DME provider(s) to troubleshoot and resolve DME issues. Provides respiratory therapy to in-patients during periods of acute staffing shortages in the respiratory therapy department.

Essential Functions:

• Evaluation
  Evaluate patients requiring Respiratory Durable Medical Equipment (DME) for OSA in accordance with AARC Clinical Practice Guidelines. Collaborate with advanced respiratory pathophysiology with physicians to implement changes to treatment plans based on patient condition. (20%)
• Documentation and Reporting
  Document Respiratory Care procedures, report observed adverse changes in a patient's condition and/or treatment plan to a member of the medical or nursing staff. Document medications delivered on Medication Administration Record (MAR). Assures that Cpap, Bipap, and oxygen prescription forms include documentation of all required information including patient information, ICD codes, laboratory data, and attending physician signatures. (20%)
• Clinical Assessment
  Assessment of clinical indications for Sleep studies, proper Cpap or Bipap settings, addition Oxygen requirements, proper circuitry and equipment for testing and home therapy. (20%)
• Program Management
  Develop and maintain data, capturing essential information related to OSA program. Analyzes and tracks project deliverables and schedules. Ensures that improvements are made in operational practice to improve the quality and cost of assigned program.Manage the CICP CPAP Programs educating the patient on the equipment for studies and treatment. Ensure proper mask fitting and settings. Coordinate referrals, clinics, patient evaluations and follow up care of OSA. Maintains data collection and weekly review of program participation. Works directly with Managed Care and referring physicians to ensure proper utilization and referral rate to program. (20%)
• Education
  Educates patients and families regarding the use of Respiratory DME and home therapy regimen to include oxygen delivery devices, Cpap and Bipap, Chest physiotherapy, and all other DME equipment. (10%)
• Equipment Management
  Recommend DME/prescription in accordance with all state and federal regulatory requirements. Assists with DME related issues to patients, physicians and providers in the pulmonary clinic. Outpatient clinic O2 re-evaluation of need for all managed care patients. Collaboreates with the DME providers on equipment needs. (10%)

Education:

• Bachelor's Degree Graduation from an AMA approved School for Registration in Respiratory Care required and
• Post High School Diploma or Certificate Program Passing score on the NBRC examination for Certified Respiratory Therapist (CRT) at the time of application required

Work Experience:

• 1-3 years experience as a respiratory therapist, including one year of working in Respiratory Home Care required

Licenses:

• ACLS-Advanced Cardiac Life Support - AHA - American Heart Association required

Knowledge, Skills and Abilities:

• Knowledge of Respiratory Care standards and guidelines
• Excellent working knowledge of Respiratory Care instruments and equipment Understand and institute advanced modes of ventilation as ordered by physician.
• Skilled to properly use ventilators, monitoring equipment, oxygen respiratory equipment and other clinic tools.
• Ability to deliver medical gases, set up and maintain the device and ensure appropriate humidification levels.
• Proficient in MS Office.
• Active Listening- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  
• Consultation and Advice to Others- Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
  
• Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  
• Temperament - Ability to remain calm in emergency situations
  

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado's primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.